| NPI | 1336599208 |
|---|---|
| Other Name | TIM SUPAKORNDEJ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61047461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016018207) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-09-14 |